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Discharge Summary Format in Word

Discharge Summary Format in Word

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____ Withdrew from Tx: ____ Transfer:_______ Client Strengths/Abilities: Presenting Concerns: ASAM Primary Issues: 1._______________________________________________________________________ 2. ______________________________________________________________________ 3. ______________________________________________________________________ Treatment Outcome (program attendance & participation, family involvement, 12 Step attendance, achievement of treatment goals and expectation): Updated...
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Applause hi I am Dr. concern to our hospital discharge summaries serve as the primary document communicating a patient's care plan to the post hospital care team it is basically a summation of the patient scores file in the hospital often the discharge summary is the only form of communication that accompanies the patient to the next setting of care the discharge summary begins with the reason for hospitalization of the patient including the chief complaint and history of present illness it should include a chronological description of significant findings and procedures and treatment provided patients condition at discharge is also an important component of the discharge summary the instructions for the patient and the family including discharge medications activity and therapy orders dietary instructions and plan for medical follow-up should be written and mentioned in the discharge summary in laymen terms that the patient and the family can understand doctors should also write infor

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